Individual
CHARSETTA DENISE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5771 ROOSEVELT BLVD, CLEARWATER, FL 33760-3407
(727) 523-2460
Mailing address
14406 EDINBURGH MOOR DR, WIMAUMA, FL 33598-6153
(813) 508-0595
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
109574500
FL
363L00000X
Nurse Practitioner
Primary
APRN11009006
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109574500
—
FL
Enumeration date
09/06/2020
Last updated
03/28/2024
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